Transfusion management using a remote-controlled, automated blood storage.
BACKGROUND
Generally, the safety of transfusion terapies for patients depends in part on the distribution of the blood products. The prevention of adverse events can be aided by technological means, which, besides improving the traceability of the process, make errors less likely. In this context, the latest frontier in automation and computerisation is the remote-controlled, automated refrigerator for blood storage.


METHODS
Computer cross-matching is an efficient and safe method for assigning blood components, based on Information Technology applied to typing and screening. This method can be extended to the management of an automated blood refrigerator, the programme of which is interfaced with the Transfusion Service's information system. The connection we made in our Service between EmoNet and Hemosafe enables real-time, remote-controlled management of the following aspects of blood component distribution: a) release of autologous and allogeneic units already allocated to a patient, b) release of available units, which can be allocated by remote-control to known patients, in the presence of a valid computer cross-match, c) release of O-negative units of blood for emergencies.


RESULTS
Our system combines an information database, which enables computer cross-matching, with an automated refrigerator for blood storage with controlled access managed remotely by the Transfusion Service. The effectiveness and safety of the system were validated during the 4 months of its routine use in the Transfusion Service's outpatient department.


CONCLUSIONS
The safety and efficiency of the distribution of blood products can and must be increased by the use of technological innovations. With the EmoNet/Hemosafe system, the responsibility for the remote-controlled distribution of red blood cell concentrates remains with the chief of the Transfusion Services, through the use of automated computer procedures and supported by continuous training of technicians and nursing staff.
Pagliaro
Pasqualepaolo
P
Servizio di Immunoematologia e Medicina Trasfusionale, Ospedale Carlo Poma, Mantova, Italy. pasqualepaolo.pagliaro@ospedalimantova.it
Turdo
Rosalia
R
D001331:Automation / Q000592:standards; D001803:Blood Transfusion / Q000379:methods* / Q000706:statistics & numerical data; D016208:Databases, Factual; D006650:Histocompatibility Testing / Q000379:methods / Q000592:standards; D006801:Humans; D007558:Italy; D012034:Refrigeration / Q000592:standards; D019114:Remote Consultation / Q000592:standards*; D012449:Safety